Claims Specialist Training Director Jobs

570 jobs

The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Training Specialist to manage all aspects of staff education and training within HPSM’s Claims Department. This includes the design, delivery, and evaluation of the program, monitoring the overall effectiveness of the program, updating documentation related to the internal policies and procedures, and providing ongo...

Under general direction, assists Director overseeing daily operations of the MBP Claims Specialists, Auditors, and Customer Service Specialists. Responds to elevated calls and follows-up to ensure resolution. Works with considerable independence to research, analyze, and resolve complex service issues for agents and insureds that fall outside the level of authority of subordinates. Provides writte...

Position Summary: Under the general direction of the Site Manager, the primary responsibility of this position is to develop and establish strategies to ensure overall Environmental, Health and Safety compliance and accident/incident prevention. This position will also maintain a dotted line responsibility to the Corporate Director of EHS for LPG and will partner with Corporate Risk Management an...

PURPOSE AND SCOPE: Fresenius Health Partners (FHP) is a wholly-owned subsidiary of Fresenius Medical Care North America (FMCNA), the world's largest integrated provider of products and services for individuals undergoing dialysis because of chronic kidney failure. FHP improves the health and outcomes of patients with end stage renal disease (ESRD) and chronic kidney disease (CKD) through intensi...

PURPOSE AND SCOPE: Fresenius Health Partners (FHP) is a wholly-owned subsidiary of Fresenius Medical Care North America (FMCNA), the world's largest integrated provider of products and services for individuals undergoing dialysis because of chronic kidney failure. FHP improves the health and outcomes of patients with end stage renal disease (ESRD) and chronic kidney disease (CKD) through intensi...

Overview: This position will be reporting to the Director of Claims Services Provide core claim system support and training; deliver claim processing support; reports to the Director of Claims Services **Entry level salary range: $50(k) - $63(k) **Benefits include but not limited to: Medical, Dental, Vision; 401(k) with Company Match; Employee Discount on Personal Insurance; Wellness Reimburseme...

The following duties and responsiblities illustrate the primary activites and functions of this Claims and Risk Specialist position: Responsible for the handling and adjusting of property, liability and auto claims to include: Claims investigation and management, claim reserving, settlement negotiations,,subrogation, policy coverage review and determinations, inputting claims data into the URM In...

Company Description: Roanoke Insurance Group provides innovative insurance products and expertise to address the varied and often complex exposures of transportation and logistics service providers (LSPs). We also provide general business insurance for the transportation industry, including Property, General Liability, Business Auto, Credit Risk, Crime, Cyber Liability, Directors & Officers, Empl...

Riyadh
Bechtel: We Build Rail The Riyadh Public Transport Project is the biggest infrastructure project to be undertaken in the Kingdom of Saudi Arabia with an overall budget of €16·3bn and is one of the largest public civil engineering projects of the century. The BACS consortium led by Bechtel is to design and build lines 1 and 2, totaling 63·3 km, with a contract value of US$9·45bn. This will transf...

***Candidate should have experience with: investigation and handling of medical malpractice, mental health professional liability, employment litigation, and other professional lines. ***Seeking strong litigation management background and experienced at attending mediations and settlement conferences in complex litigated cases. JOB SUMMARY: Investigates, evaluates, and resolves claims and lawsui...

Provides the Health Services Utilization Management department with future assessment, facilitation, teaching, monitoring educational programs and performance improvement. Provides guidance to other trainers. Essential Functions: Trains, facilitates and assesses training programs for the Health Services Utilization Management department and clinical programs for corporate, onsite nurses and staf...

Provides the Health Services Utilization Management department with future assessment, facilitation, teaching, monitoring educational programs and performance improvement. Provides guidance to other trainers. Essential Functions: Trains, facilitates and assesses training programs for the Health Services Utilization Management department and clinical programs for corporate, onsite nurses and staf...

JOB SUMMARY: There when you need us! Child, Youth & School Services recognizes the challenges of our Soldiers and their Families. By offering quality programs for children, youth and students, CYSS supports the Army Family Covenant by reducing the conflict between mission readiness and parental responsibility. Recruitments from this vacancy announcement will be filled for the Stony Child Developm...

*LI-JH1 The Health Services Training Specialist provides the Health Services Utilization Management department with future assessment, instructional design, facilitation, teaching, monitoring educational programs and performance improvement. Essential Functions: Trains, facilitates and assesses training programs for the Health Services Utilization Management department. Assesses designs and de...

The Health Services Training Specialist provides the Health Services Utilization Management department with future assessment, instructional design, facilitation, teaching, monitoring educational programs and performance improvement. Essential Functions: Trains, facilitates and assesses training programs for the Health Services Utilization Management department. Assesses designs and develops in...

Overview: The Manager, Claims Quality oversees the daily operations of the Claims quality staff and is responsible for managing and maintaining operational claims quality and claims training programs. The position is responsible for the internal and external oversight of all claims staff audits, from other health plans, DMHC, and CMS to ensure overall compliance with exceptional results as direct...

Select Portfolio Servicing, Inc a Credit Suisse company is an industry leader in residential mortgage loan servicing with a portfolio of over 400,000 national loans. Our commitment to compliance, excellent customer service and superior investor relations has positioned us for sustained success. Director, Escrow: Responsible for a broad spectrum of functions within Escrow. Supervise teams of Escro...

JOB SUMMARY: About the Agency DOL seeks to attract and retain a high performing and diverse workforce in which employees’ differences are respected and valued to better meet the varying needs of the diverse customers we serve. DOL fosters a diverse and inclusive work environment that promotes collaboration, flexibility and fairness so that all individuals are able to participate and contribute t...

Additional Information: This role may be staffed out of the Nationwide Office in either Sacramento, CA or Columbus, OH. JOB SUMMARY : Provide services to claim management and profit center management in the delivery of claim service to mid and large commercial market accounts. Represent Nationwide commercial claims as the primary relationship manager. Research, manage and serve as the primary li...

Additional Information: This role may be staffed out of the Nationwide Office in either Sacramento, CA or Columbus, OH. JOB SUMMARY : Provide services to claim management and profit center management in the delivery of claim service to mid and large commercial market accounts. Represent Nationwide commercial claims as the primary relationship manager. Research, manage and serve as the primary li...